Cardiac Electrophysiologist @Northwellhealth @SIUHospital, #EPeeps, #AI in healthcare, #Chess, Tweets=Personal Opinions

USA
Joined July 2009
Real-world long-term #AF ablation outcomes on a highly diverse cohort of 3,500 patients (96% retention) from our home grown #ITHACA-database 🗝️ finding ➡️ persistent AF patients who are AF free at 1-year have similar outcomes to paroxysmal patients thereafter @NorthwellHealth @DimitriVarrias @kcole_12 @JCardioEP @DrBradleyKnight 🔗 lnkd.in/ehukDeKh
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Utilization of #AI based tools for delineating cardiac structures with ICE during #AblateVT cases as part of #FIH trials with new @AbbottCardio exceeded expectations - rapid definition of valves, paps in LV:
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Here is the video of PFA delivered near a LAA occlusion device
Visible Arcing Observed with Pulsed Field Ablation Applications Delivered Near a Left Atrial Appendage Occlusion Device - Heart Rhythm heartrhythmjournal.com/artic…
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Either using PFA or RF ablation with anatomical precision with perfect contact=effective lesion. ICE (LA)guided ablation of Bachman bundle. @AfferaEP
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Huge thank you to our CVT Chairs, Laura Ogle, MSN, RN, AGACNP-BC, and @kcole_12 , MPH, RN, CCRC, for their leadership in putting together an incredible CVT Symposium! And a special shoutout to Kristie for also taking the stage as a speaker!
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Mastery of ablation biophysics - will this become a lost art in era of PFA? Great presentation by #DrJoshMoss from @UCSFCardiology with lucid explanation of core concept of current density for lesion formation. @JorgeERomeroMD @True_EP
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Off to great start for @AbbottCardio annual EP Procedural course with #EPfellows Class of '27 -- @NishantVermaMD reviewing EP study and signals: @cooper_dh @rachelkaplanmd @ValayParikhMD
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.@CircAHA ECG Challenge implicit title - Prepare to have your mind blown ahajournals.org/doi/full/10.…
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Congratulations @dr_pavia! Thank you for advancing the understanding of this area! #EPeeps #CardioTwitter
Replying to @dr_pavia
Should patients with cardiac conduction disorders (CCD) be genetically tested? Which 🧬 should be analyzed? What is the contribution of each 🧬? Come with me to see the results of our new study published this week @JACCJournals 👇 Long 🧵 (2/16)
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Advancing Science with more data from #PulsedAF #PulseSelect PFA Global Trial. Congrats to @boersma_lucas @natale_md @atulverma_md and all co-authors. #MedtronicEmployee Prevalence, Timing, and Impact of Early Recurrence of Atrial Tachyarrh... sciencedirect.com/science/ar…
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#echofirst TEE 1️⃣A normal THEBESIAN VALVE covering the coronary sinus (CS) 2️⃣How to get the CS ostium ⬇️⏬️pushing the TEE probe from ME 4Ch into Deep esophageal view #CardioTwitter
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Using ICE to guide subxiphoid epi access in a VT ablation of a 46 yom with ARVC with @CarinaHardy4 @LuanVieiraEP . Interesting (and scary) to see the inferior RV free wall being so easily pushed by the needle/guidewire @MRazminia @Scanav1Mauricio @EPeeps_Bot #burnvt – at Sao Paulo, Brazil
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"Retrospective lookbacks introduce reporting bias and likely underestimate the number of failed implantations and complications. This is further evidenced by higher crossover rates in randomized trials observed in HIS SYNC (47%), HIS ALTERNATIVE (28%)... Mixed registries within MELOS reported 98-100% implant rates, whereas prospective sites reported implant success rates as low as 80%. This 20% difference between prospective and retrospective reporting is significant with regard to reporting methodology and generalizability."
Nuances in conduction system pacing reporting: Value of prospective and adjudicated data, by Praneeth Katrapati, MD and @DrRoderickTung heartrhythmjournal.com/artic…
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Valay Parikh retweeted
🚨PMI Composite Final: ACTUAL 50.2  .. Expecting 50.1 PMI Services: ACTUAL  50.1 .. Expecting 50.2
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Valay Parikh retweeted
How to avoid AF recurrences after ablation? Do you always check pt basal impedance ? 30W 10gr w/different basal impedance. Dramatic change in lesion dimension is related to basal impedance as Current decreases steeply. @LAHRSonline1 meeting. doi: 10.1161/CIRCEP.118.006690. – at Ciudad Autónoma de Buenos Aires, Argentina
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Love new insights into human physiology! Our first paper in @JACCJournals is a huge 2nd milestone @uazmedphx.🔥🌵 We closely analyzed sinus rates during VT and found a surprising proportion with inappropriate bradycardia, during a life-threatening episode. Do humans have a maladaptive vasovagal response to VT? Can atropine be used as a "pressor" during VT? Congrats @MargaridaPujol, who embodies passion for EP and dedication!🇪🇸🇺🇸 jacc.org/doi/10.1016/j.jacc.… – at Phoenix, AZ
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Valay Parikh retweeted
Great review of current literature on peridevice leak post-LAAO. ⬆️Ischemic events, ­⬆️bleeding. Modifiable factors including undersizing, coaxiality of device to LAA! bit.ly/LAAO_PDL @adnanalkhouli @DJ_Lakkireddy @docsaw @JACCJournals @ACCinTouch @OKhaliqueMD @MCoylewright
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